Heading

Loan amount

What are your funding requirements?

Working capital

Debt consolidation

Equipment Purchase

Other

Repayment term:

When do you require your funds?

Next few days

Next few weeks

Are you a Limited Company or a Sole Trader/Partnership?

Limited Company

Sole Trader/Partnership

Company name

Are directors homeowners?

Yes

No

How many years have you been trading?

New - Under 1 year

1 to 3 years

3 years +

What was your turnover last year?

£0 - £250,000

£250,000 - £750,000

£750,000 - £2,500,000

£2,500,000 +

Full name

Email

Phone